Medicare

Dec 7, 2018
The Medicare Payment Advisory Commission this week discussed several draft recommendations for Congress, which the panel could vote on in January.
Nov 1, 2018
A federal court today ruled in favor of the AHA and its member hospital plaintiffs, and reinstated a mandamus order establishing annual deadline-based targets for reducing the backlog of Medicare appeals at the Administrative Law Judge level.
Oct 24, 2018
AHA and member hospitals yesterday told a federal court that court-ordered targets for reducing the backlog of Medicare appeals at the Administrative Law Judge level remain crucial for ensuring a maintenance of effort by the Department of Health and Human Services.
Sep 25, 2018
Medicare patients who receive care in a hospital outpatient department are likely to be poorer and have more severe chronic conditions than Medicare patients treated in an independent physician office, according to a study released today and prepared for the AHA.
Jan 13, 2021
The Centers for Medicare & Medicaid Services finalized its proposal to codify how it defines “reasonable and necessary” coverage for items and services furnished under Medicare Parts A and B.
Jan 13, 2021
The Medicare Payment Advisory Commission (MedPAC, or the Commission) will vote this month on payment recommendations for 2022.
Jan 11, 2021
At A Glance Health plans often inappropriately delay or decline coverage for medically necessary care. This can undermine the quality of care that is provided, strain the provider/patient relationship, result in bad debt for providers and unexpected bills for patients, and increase the burden on…
Jan 11, 2021
AHA comments on the Centers for Medicare & Medicaid Services’ proposed changes to the hospital and hospital health care complex cost report.
Dec 21, 2020
At a Glance House and Senate leaders late yesterday announced an agreement on a roughly $900 billion COVID-19 relief package that includes a number of provisions beneficial to hospitals and health systems. They also agreed on a roughly $1.4 trillion spending package that would fund the federal…